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NPI Code Detail

MEDICARE: DIABETES AND ENDOCRINE MEDICAL OFFICE PLLC

MEDICARE: DIABETES AND ENDOCRINE MEDICAL OFFICE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician199327NY

General Provider Information

NPI Number : 1184805178
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIABETES AND ENDOCRINE MEDICAL OFFICE PLLC
Provider Business Mailing Address
First Line : 6 LAFAYETTE CT
Second Line : SUITE 1
City : FISHKILL
State : NY
Zip : 12524-3036
Country : US
Telephone Number : 845-896-0008
Fax Number : 845-896-2241
Provider Business Practice Location Address
First Line : 6 LAFAYETTE CT
Second Line : SUITE 1
City : FISHKILL
State : NY
Zip : 12524-3036
Country : US
Telephone Number : 845-896-0008
Fax Number : 845-896-2241
Authorized Official
Title or Position : ENDOCRINOLOGIST
Name : DR. CHITHRANJAN NATH
Credential : M.D.
Telephone Number : 845-896-0008
Provider Enumeration Date : 11/18/2007
Last Update Date : 01/25/2010

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